A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions?

Ask the client to lie on her back and with her knees ﬂexed.

Position one hand around the top of the client's fundus and one hand just above the client's symphysis pubis.

Rotate the upper hand to massage the client's uterus while using slight downward pressure to compress the fundus.

Observe the client's perineum for the passage of clots and the amount of bleeding.

Answer and Explanation

The Correct Answer is A, B, C, D

The correct answer is A, B, C, D.

The nurse should plan to perform the following actions in this order:
A.   Ask the client to lie on her back and with her knees ﬂexed.
B.   Position one hand around the top of the client’s fundus and one hand just above the client’s symphysis pubis.
C.   Rotate the upper hand to massage the client’s uterus while using slight downward pressure to compress the fundus.
D.   Observe the client’s perineum for the passage of clots and the amount of
bleeding.
Fundal massage is performed to stimulate uterine contractions and prevent
postpartum hemorrhage.

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Correct Answer is B

Explanation

Nägele’s Rule is a method for estimating the expected date of delivery (EDD) or conﬁnement (EDC).

It involves adding seven days and one year, and subtracting three months, from the ﬁrst day of the last menstrual period (LMP)1.

Using this rule, if the ﬁrst day of the client’s last menstrual period was July 28th, then adding seven days would be August 4th.

Subtracting three months would be May 4th.

Adding one year would be May 4th of the following year.

Therefore, the nurse should document May 5th as the client’s expected delivery date.

Choice A is incorrect because April 21st is too early according to Nägele’s Rule calculation.

Choice C is incorrect because May 21st is too late according to Nägele’s Rule calculation.

Choice D is incorrect because April 4th is too early according to Nägele’s Rule calculation.

A. This procedure determines if your baby has genetic or congenital disorders. B. We can schedule the procedure for later today if you'd like. C. Your provider will schedule a chorionic villus sampling to determine the sex of your baby. D. You cannot have an amniocentesis until you are at least years of age.

Correct Answer is A

Explanation

The nurse should inform the client that amniocentesis is a procedure that
determines if the baby has genetic or congenital disorders.

Choice B is not the best answer because amniocentesis is typically performed after 15 weeks of gestation.
Choice C is not the best answer because chorionic villus sampling (CVS) is a diﬀerent procedure from amniocentesis.
Choice D is not the best answer because there is no age restriction for having an amniocentesis.

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A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is using Nägele's Rule to calculate the expected delivery date of a client who reports that the first day of her last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client's expected delivery date?

Correct Answer is B

Explanation

A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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